Welcome to the Wellness Roadmap.

This series of questions is designed to provide an overview of your health, habits, patterns, and goals.

It's purpose is to help establish a starting point.

This isn't a diagnoses or a process in an attempt "fix" you, but to help clarify the big picture so midlife feels less overwhelming.

This is not the start of a coaching relationship.

It’s a standalone offering meant to give you language, perspective, and a clear next step.

Not a forever step, just a next step.

When you're finished, I’ll take a non-judgmental look at your answers and send you a short Loom video where I reflect back what I’m noticing and name a few key themes.

There’s nothing to prepare for and no obligation.

Some people simply want clarity, and that’s a complete and valid reason to be here.

Please take your time to answer honestly.

If a question doesn’t feel relevant or comfortable, you’re welcome to skip it (just type n/a).

Your responses are completely confidential.

The more context you share, the more helpful and specific my feedback can be.

I'm honored to support you taking this step for yourself.

Full Name *

Email *

Phone *

Let's begin!

Date of birth *

Height

Current Weight

Do you have any medical conditions you wish to disclose? (I.E. diabetes, hypothyroid, high cholesterol, etc) *

Can you describe your familiarity with menopause? *

Are you currently experiencing any bothersome symptoms of menopause? *

Yes

Not sure

If you answered yes to the previous question, which symptoms are most bothersome?

Goal Review Section

Which of the following best describes your goal with your fitness and nutrition? *

I'd like to feel more confident in my own skin.

I'd like my clothes to fit better.

I'd like to build muscle and get stronger.

I'd like to be healthy and live longer.

I'd like to heal and improve my relationship with food.

What do you think is the biggest obstacle or frustration that is keeping you from reaching that goal? *

How long has this goal felt unattainable? *

What would it mean for you to solve this problem? *

How much progress are you making with your current fitness and nutrition plan? *

I don't have a plan right now.

It's very slow and frustrating.

Some progress but room for improvements.